Sandra Kasprzyk, R.N., Psy.D.
CONSENT TO COMMUNICATE BY E-MAIL
E-mail is not a secure form of communication. I understand that if I choose to communicate with the psychologist by e-mail, the confidentiality of any e-mailed information cannot be ensured.
If I send an e-mail to the psychologist, I understand that the confidentiality of that e-mail cannot be ensured. If I ask for a response from the psychologist and give the psychologist my e-mail address, I am granting my consent for the psychologist to respond to me by e-mail, unless I request that a response be made by another means that I specify in my e-mail to the psychologist.
I acknowledge that I have read the statements above regarding the security of e-mail communication between me and the psychologist and I consent to communication by use of e-mail.